Afghanistan: Death toll still rising following attack on MSF hospital

The total number of dead is known to be at least 30, including: 10 known patients, 13 known staff, and 7 unrecognisable bodies that were in the wreck of the hospital and that have not been identified so far (these bodies are now duly buried).

One MSF staff member and two patients who are missing and presumed dead may be among the seven unrecognisable bodies, but ongoing forensic examinations have not yet been concluded. These unfortunately may not be final numbers.

27 staff injured

So far MSF also confirms 27 staff injured and also many patients and caretakers. Following the chaos of the attack, tracing patients has been extremely difficult and a definite number of wounded may be impossible to determine.

Victor J. Blue

Bullet holes mark an MSF sign on the front gates of the Kunduz trauma Centre, 14 October 2015 in northern Afghanistan.

Destruction of the trauma centre

Beyond the immediate death toll, the destruction of MSF’s 94-bed trauma centre will have a huge impact on access to surgical care for hundreds of thousands of people. This hospital was the only facility of its kind in northeastern Afghanistan, with more than 400 staff able to provide extremely high quality surgical, post-operative and rehabilitation care.

Last year, more than 22,000 patients received care at the hospital and more than 5900 surgeries were performed. Staff treated anyone who needed medical care, often for significant trauma injuries from traffic accidents, bomb blasts or gunshot wounds.

This was invaluable in the week leading up to the attack, when conflict was raging in the city and 394 wounded patients were treated, from 28 September to 02 October.

Victor J. Blue

An interior view of the MSF Trauma Centre, 14 October 2015, shows a missile hole in the wall and the burnt-out remians of the the building aftera sustained attack on the facility in Kunduz.

All that now remains of the three operating theatres, the ER and outpatient departments and the intensive care unit are collapsed roofs, blackened walls, floors thick with dust and twisted pieces of metal that were once beds or trolleys.

Surgical capacity now limited

Today, in a situation that remains volatile, the Kunduz Regional Hospital and a clinic at the airport are the only facilities providing free medical care in Kunduz town. They have received donations of medical supplies from various sources, including from MSF, since the attack on the MSF hospital.

Ministry of Health staff has been relocated from other provinces to provide support. The surgical capacity in these facilities is limited and complex, medical cases cannot be managed, meaning they need to be transferred to hospitals in other towns.

Small team returned to Kunduz

A small MSF team has returned to Kunduz to assess the damage, ensure appropriate collaboration with ongoing investigations and to follow-up on the welfare of our staff, but until MSF understands what happened on the night of the attack and has strong assurances that it cannot happen again, the Kunduz trauma centre cannot be reopened. Our staff and patients must be safe.